31D2217696 CLIA NUMBER - NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00853

Laboratory Demographics

  • CLIA Code: 31D2217696
  • Facility Name: NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00853
  • Facility Address: 9301 VENTNOR AVENUE
    MARGATE CITY, NJ
    ZIP 08402
  • Facility Phone: 401 770-6431
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ANTHONY CAPPUCCIO
  • NPI Number: 1881777944
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2217696
LAB Type Pharmacy
Facility Name NEW JERSEY CVS PHARMACY LLC DBA CVS/PHARMACY #00853
Street 9301 VENTNOR AVENUE
City MARGATE CITY
State NJ
ZIP 08402
Phone 401 770-6431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Pharmacy
Lab Director ANTHONY CAPPUCCIO

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This page was last updated on: 3/20/2025